Ultrasound as a diagnostic tool used by surgeons in pyloric stenosis

Journal of Pediatric Surgery
Cristiano BonetiSamuel D Smith

Abstract

The purpose of the study was to validate surgeon-performed abdominal ultrasound in the diagnosis of pyloric stenosis, thus expediting diagnosis and management and increasing overall cost-effectiveness. A surgical resident, after completing ultrasound courses offered by the American College of Surgeons, Chicago, IL, examined 30 consecutive patients with a suspected diagnosis of hypertrophic pyloric stenosis (HPS). Blinded regarding both clinical and radiographic findings, the resident scanned the pylorus in longitudinal and transverse axes. Positive ultrasonographic evidence of HPS was defined as muscle thickness of at least 4 mm and/or channel length of at least 16 mm. Surgeon and radiology measurements were compared using descriptive analyses and Student t test. There were 25 boys and 5 girls examined. Twenty-eight of 30 patients were found to have HPS. When ultrasound performed by the surgeon was compared with that of radiology, no false-negative or false-positive results were noted. The surgeon was diagnostically accurate in all cases, and there was no statistically significant difference between surgeon and radiology measurements with regard to pyloric muscle thickness (P = .825, mean deviation = 0.4 mm) or channel length (...Continue Reading

References

Jun 1, 1988·AJR. American Journal of Roentgenology·J D BlumhagenE Weinberger
Feb 27, 1993·BMJ : British Medical Journal·J Macdessi, R K Oates
Jun 7, 2002·Ultrasound in Medicine & Biology·Ruth StarinskyJoseph Barr
Mar 15, 2003·Radiology·Marta Hernanz-Schulman
Apr 12, 2003·Obstetrics and Gynecology·Carol Louik, Allen A Mitchell
Jun 24, 2009·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·A ToubiR Shaoul

❮ Previous
Next ❯

Citations

Jun 17, 2014·Journal of Surgical Education·Deidre L WyrickMelvin S Dassinger
Jun 21, 2011·Journal of Pediatric Surgery·Jeffrey M BurfordSamuel D Smith
Jun 16, 2009·Journal of Pediatric Surgery·Daniel R CopelandSamuel D Smith
Jun 21, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam B SivitzStephanie G Cohen
Aug 13, 2015·Pediatric Surgery International·Deidre L WyrickMelvin S Dassinger
Aug 16, 2016·Seminars in Pediatric Surgery·Matthew Jobson, Nigel J Hall
May 20, 2009·Philosophical Transactions. Series A, Mathematical, Physical, and Engineering Sciences·Jeremy NowellArthur Trew

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

AJR. American Journal of Roentgenology
J D BlumhagenE Weinberger
Radiographics : a Review Publication of the Radiological Society of North America, Inc
C J SivitK D Newman
© 2021 Meta ULC. All rights reserved